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Terms in this set (48)
What are five benefits of play?
-Visual perceptual components
-Pre-academic skill building
What are four things children learn from the use of adaptive switches?
-Cause and effect
What are four factors to consider when fitting the appropriate adaptive switch?
-What is the goal
-What type of movement the user has
-How much force the user can exert
-What parts of the body can be used to activate the switch
What are three goals of positioning a child for play?
-Ultimate positioning for vision and fine motor function
What three objectives did the disabilities acts of 2004 aim to accomplish?
-Improved access to the general education curriculum
-Protected students right to equal access
-Increased opportunities to successfully learn in the classroom with AT
What are four examples of low-tech devices/strategies to improve academic performance?
-Quiet and uncluttered workspace
-Organizing systems, notebooks, files
-Slant boards, pen grips, reading guides, raised lines
-Personally developed date book, scheduler
What are four things quality instructional software should include?
-Accessible, simplified instructions
-Positive corrective feedback
-Appropriate reading level
-Has ways to document progress
-Includes games, simulations, instructional practice
What are four strategies for pediatric adaptive feeding?
-Adapted highchairs: tray swings open
-Highchair steps: the child climbs up on own
-Tray locking systems: flip lock or paddle lock
-Bottle wrap and bottle holders
-Adapted bibs: pull over the head, Velcro, front pocket to catch spills
-Feeding splint: wrist cock-up splint with a spoon pouch made of Velcro is attached to the front (palm side)
What are four potential contextual influences on mental illness?
Give an example of a specific contextual influence on schizophrenia and ADHD (total of two answers)
-Schizophrenia: less community and family support
-ADHD: more sitting, less movement in early childhood education
How does Finland's approach differ from the US approach to schizophrenia?
-Community and family support
-Acceptance of voices/bizarre behaviors
-None to limited medications
-Think long term over short term
What were the top two reasons individuals in the survey with mental illness used EDTs?
Which reason was on the bottom of their choices for EDT use?
-Reminders to take meds
-Monitor health and fitness
What were the two leading personal factors that led to discontinuation of EDTs by those in the survey?
-Felt never needed/wanted it
-Opinion not considered during the device selection process
What are two lessons to the stories of The Lives they Left Behind?
-Limitations of medical science
-Lost individuality of mentally ill
-The lives that were lost through institutionalization
What are the major four native tribes of Maine?
What are five examples in Maine of discrimination against native people?
-Extermination through bounties
-Outlawing of cultural practices, clothes, and language
-Loss of hunting grounds
-Polluted rivers, lost diet
-Government/catholic churches have been involved in forced removal of Indian children to white families
-Orphaned natives legally had to be adopted by a white family in ME as late as 1995
What are four examples of health issues with Maine native people?
Define cultural assimilation
Process by which a person or groups language and/or culture come to resemble those of another group
What has been the long term result of Somalis in Lewiston, Maine?
-Somalis able to assist aging, dying population
-Increased local businesses
-Lewiston community has moved from anger, protest to acceptance
-No increase in crime
How can the perception of discrimination lead to health issues?
Leads to increased cortisol levels-reduced lifespan and increased health issues
What are four tips for health literacy communication for health care workers?
-Use an 8th-grade level, nonjargon
-Speak slowly, clearly: listening skills
-Know your audience well
-Repeat, use return demonstration
What are three tips for using plain language with health issues?
-Use simple language
-Defining technical terms
-Breaking down complex information into understandable pieces
-Open-ended vs yes/no
Organizing information so the most important points come first
In the categories of health care system quality, access, efficiency, equity (cost) and healthy lives how does the US compared to other countries?
Healthy lives- 11th
How much does a total knee replacement cost in the US compared to Sweden?
$25,000 vs $12,000
What are five characteristics that the US healthcare system currently emphasizes?
-Era of HMO/7 minute visit
-Limited cost control
-Limited cost bargaining
-Defensive medicine (legal)
-Chronic illness dominates the cost
-5% cost 50%
-Approaching tsunami: baby boomers
What are five things that patients want from their health care system?
-Communication between providers
-Remain at home
-Effective, comprehensive health care for chronically ill
What is an Accountable Care Organization (ACO)
Hospitals-nursing home-homecare agencies all working together to reduce costs and improve quality, selection based on quality and cost
What is quality improvement from an OT management perspective? Give an example
-Productivity: time management
-Chronic-neuro: more efficient and improved outcomes for Parkinson's
How many children in Maine grow up in poverty?
1 in 4 children under 5
What are five parenting traits linked to child health issues, land low future child education, and a low future child income?
-Rent, changing homes
-Children seen but not heard
-Home safety issues: 2nd hand smoke
-Not read to- electronic focus
What are five parenting traits linked to higher child education levels and higher future child income levels?
-Two parent household
-Middle class income
-Child is read to
-Child is talked to
-Child does lots of activities
-Time out disciple, vs physical discipline
-Stimulating physical play vs electronics
-Sesame Street vs cartoons
-Parent style that empowers children, makes children assertive, vs passive
What are three factors impacting quality of life for older adults?
-Shrinking social support
-Lost occupational meaning
What is an example of ageism?
Sending an older adult to live in assisted living facility out of fear that they will fall- but they actually are not at risk for falls
What are four characteristics of the brain and behavior?
-Brain/perceptual damage uneven
-Loss of one cognitive skill may impact other tasks
-Psychiatric problems go hand in hand with brain damage
-A person's feelings impact his/her behavior (especially pain)
What are three examples of memory aides for Alzheimer patients?
-Use of daily routine
At what stage do memory aides work best with Alzheimer's disease?
What are four strategies to assist Alzheimer patients with excessive emotional reactions?
-Going with the client vs reorientation
-Breaking steps into simple steps
-Staring at a fish tank
-Limit activity when tired
-Stop before emotions escalate
-Keeping a log of emotions escalate
-Keeping a log of emotional triggers
-Caution with physical contact, restraint
What are three strategies for assisting an Alzheimer patient with communication issues?
-Help them point, or describe the word if they can't express
-Guess and confirm
-If they cannot communication make sure to regularly check for warmth, skin breakdown, incontinence, facial agitation, etc.
What are three strategies for assisting an Alzheimer patient with comprehension issues?
-Make sure they are hearing you
-Lower pitch/tone of your voice
-Use short words and sentences
-One question and one task at a time
-Speak slowly and calmly
-Smile, make direct eye contact
-Use touch, pointing
-Be sensitive to body language
What is an example of how structure can help an Alzheimer patient?
Keeping a routine with dressing will become an unconscious act for patient and cause less disruption
What are four strategies to help caregivers of Alzheimer patients
-Share concerns with social supports
-Get enough rest, know limits
-Solve problems one at a time
-Be creative in problem solving
-Emphasize structure and routine
-Keep the person active within the limits of your energy, resources
What are four CVA teaching tips from Jill Bolte Taylor?
-Patience with constant repetition
-Hand over hand vs. telling them what to do
-Teach through: demonstration, return demonstration
-Break all actions down into smaller steps
-Limit external noise/distractions
How does the character in Genova's novel describe the experience of neglect?
No awareness of left side of body
Why does visual cuing help Parkinson's patients?
Helps with initiations/taps into part of brain that is undamaged
Briefly describe the three stories of Gleason's life
Before: Gleason is an athlete who is very adventurous and active with his wife, Michael.
Worse: Gleason sits in the room with his wife struggling to understand her state of emotion. He feels like a burden on his wife and can see she is exhausted and stressed. She has quick responses and is treating him like a patient more than a husband.
Future: Gleason is comfortable, receiving the care he needs, and is able to communicate and interact comfortable with his wife and son. He is able to communicate his needs and wants. His family and friends have accepted his disease and are appropriate around him.
How can human support, technology, and meaning improve quality of life for an individual with a chronic neurological disorder? Give an example
Gleason has money for technology- speaking device, high tech wheelchair, home adaptations
Give two examples of how our current emphasis on cost leads to client disjuncture?
-Limited continuity of care leads to high hospitalization rates for chronically ill and higher relapse rates for mentally ill
-Increased institualization for elderly and disabled due to limited resources for in home care
-Ineffective/limited use of technology to treat people in their homes
-Lack of care coordination (leads to medical errors, missed opportunities to improve quality
-Lack of client-centered care (era of productivity focused 5 minute visit and 18 second story)
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